2012, 08-28 Permit App: BLD-2012-1081 Mechanical FixturesYermrt Center
*WW ne 11703 E Sprague Ave, Suite B-3
ane Spokane Valley, WA 99206
„0„,00 V i_y(509)688-0036 FAX: (509)688-0037
Community Development permitcenter@n,spokanevalley.org
Mechanical Permit Application
PERMIT NUMBER:
PERMIT FEE:
Commercial j Residential
SITE ADDREss: /c26)6 / , l ., t) ei c 1 p_. >K /1 / 1/q116,/ viLA q qc %6
Building Owner
Name: Si& �'I� , Sic' iiere)) Yl 6
Address: 12
.. � Il/ /)C„,:ii'to-' 1,', 13,
Contractor
Phone:(5C (1 J 7 �'_, 9 7L,),f7 Fax:
City: S poi‹,, h e (f e j' State:
Zip: C7g1)'C
Name:
Phone:
Fax:
Address:
License No:
/ V/4
City:
State:
Zip:
City Business Lic:
Contact/Project Manager:
Name:
Phone:
CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
hCG �f�l npy,
VIN:
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc
#UNITS
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Up to & including 100,000 BTU
FURNACES & SUSPENDED HEATERS -INSTALLATION OR RELOCATION
Over 100,000 BTU
DUCT WORK SYSTEM
HEAT PUMP/AIR CONDITIONER
0-3 TON
AIR CONDITIONER
Over 3-15 TON
AIR CONDITIONER
Over 15-30 TON
%
AIR CONDITIONER
Over 30-50 TON
AIR CONDITIONER
Over 50 TON
GAS WATER HEATER
1
GAS PIPING SYSTEM (each outlet)
06' v2
GAS LOG, FIREPLACE, & GAS INSERT
APPLIANCE VENTS INSTALLATION, RELOCATION, REPLACEMENT
—177 I
REPAIRS OR ADDITIONS
ii
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
0 to 3 hp -100,000 BTU or less
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 3 -15 hp —100,001 to 500,000 BTU
,--4/"
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 15 — 30 hp - 500,001 to 1,000,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 30 hp —1,000,001 to 1,750,000 BTU
BOILER, COMPRESSORS, ABSORPTIONS SYSTEM
Over 50 hp — over 1,750,000 BTU
AIR HANDLER (DOES NOT include ducting)
Each unit up to 10,000 cfm, including ducts
I
•
AIR HANDLER (DOES NOT include ducting)
Each unit over 10,000 cfm
EVAPORATIVE COOLERS(other than portables)
VENTILATION AND EXHAUST
Each fan connected to a singe duct
ti
VENTILATION AND EXHAUST
Each ventilation system
VENTILATION AND EXHAUST
Each hood served by mechanical exhaust
INCINERATORS
Installation or relocation of residential
i
INCINERATORS
Installation or relocation of commercial
APPLIANCES
Range, Clothes Washer
4 --
UNLISTED APPLIANCES
Under 400,000 BTU
UNLISTED APPLIANCES
Over 400,000 BTU
HOOD
Type I
HOOD
Type II
L P STORAGE TANK .
WOOD OR PELLET STOVE INSERT
.--4--
WOOD STOVE SYSTEM — FREE STANDING
CASH ❑ CHECK ❑ VISA ❑ MC
CARD #:
EXPIRES:
SIGNATURE
hCG �f�l npy,
VIN:
http://www.spokanevalley.org/uploads/Community Development/Documents/Forms/Building/MechanicalPermitApplication040309.doc